Gastropexy for Dogs: Should You Consider It?

If you’re a dog owner, particularly of a large or deep-chested breed, you may have heard your vet mention gastropexy. This surgical procedure is often recommended as a preventative measure against gastric dilatation-volvulus (GDV)—a life-threatening condition commonly known as bloat.

A recent question from a dog owner in our community highlights a common concern:

“My vet is recommending I do the gastropexy procedure for my dog. It seems to make sense, but I’m new to the breed and looking for guidance from experienced owners.”

If you’re in a similar situation, let’s break it down so you can make the best decision for your dog.

What Is Gastropexy?

Gastropexy is a surgical procedure that involves tacking the stomach to the abdominal wall to prevent it from twisting. While it doesn’t stop bloating from occurring, it prevents volvulus, the deadly twisting of the stomach that can cut off blood supply and lead to a rapid emergency.

This procedure is often performed proactively during a desexing surgery or as a standalone laparoscopic (keyhole) procedure. Some dogs undergo gastropexy as part of emergency GDV surgery, but getting it done before an emergency can reduce risk, stress, and cost.

Which Breeds Are Most at Risk?

Gastropexy is most commonly recommended for deep-chested breeds, which are anatomically more prone to GDV. Some of the highest-risk breeds include:

✅ Great Danes (highest risk—up to 40% of dogs may develop GDV in their lifetime)

✅ German Shepherds

✅ Dobermanns

✅ Standard Poodles

✅ Boxers

✅ Labrador Retrievers & Golden Retrievers

✅ Weimaraners

✅ Irish Setters

✅ Saint Bernards

✅ Rottweilers

✅ Bernese Mountain Dogs

✅ Newfoundlands

✅ Greyhounds

Even if your dog’s breed isn’t on this list, any deep-chested dog can develop GDV. Some mixed-breed dogs also inherit a body structure that increases their risk.

Pros of Preventative Gastropexy

Many vets and experienced dog owners recommend proactive gastropexy, especially for high-risk breeds. Here’s why:

✔️ Prevents stomach twisting – While it doesn’t prevent bloating, it stops the stomach from rotating, making bloat much less dangerous.

✔️ Reduces the risk of emergency surgery – Emergency GDV surgery is expensive ($5,000–$10,000+) and carries a high mortality rate. Preventative gastropexy removes this risk.

✔️ Can be done during desexing – If your dog is already undergoing surgery for desexing, the additional recovery time is minimal.

✔️ Laparoscopic (minimally invasive) options available – Many vets now offer laparoscopic gastropexy, which involves smaller incisions and a faster recovery time.

Potential Downsides

While gastropexy is widely recommended, there are some considerations:

❌ It’s still surgery – As with any procedure, there is a small risk of complications (though with an experienced vet, these are minimal).

❌ Cost – Depending on your location and the vet, preventative gastropexy can cost $800–$2,000. However, this is far cheaper than emergency GDV surgery.

❌ Doesn’t prevent bloating entirely – While it eliminates the risk of stomach twisting, dogs can still bloat, so proper feeding and management remain essential.

How to Reduce Bloat Risk in Dogs

Whether or not you opt for gastropexy, you can take steps to reduce your dog’s risk of GDV:

🐾 Feed smaller, more frequent meals – Avoid feeding one large meal a day.

🐾 Use a slow feeder bowl – Slows down eating and reduces swallowed air.

🐾 Avoid exercise right before or after eating – Wait at least an hour.

🐾 Reduce stress levels – Anxious dogs tend to gulp air, which can contribute to bloat.

🐾 Elevated feeding? – Research is mixed; some vets recommend it, while others suggest it may increase risk—consult your vet.

🐾 Know the signs of bloat – Restlessness, drooling, unsuccessful vomiting attempts, a hard/swollen belly, and signs of distress mean you need emergency vet care immediately.

Should You Get Gastropexy for Your Dog?

If your vet has recommended gastropexy, it’s worth considering, especially if your dog is a high-risk breed. While not every dog will need it, many owners who have experienced GDV firsthand strongly advocate for preventative surgery.

To make an informed decision, ask your vet:

✔️ Is my dog at high risk based on their breed, size, or genetics?

✔️ What type of gastropexy do you recommend (laparoscopic vs. traditional)?

✔️ Can it be done during desexing to reduce overall stress and recovery time?

✔️ What is the recovery process like?

Final Thoughts

Preventative gastropexy is a personal decision, but for deep-chested dogs, it can be a lifesaving procedure that offers peace of mind. If your vet is recommending it, it’s worth a conversation.

Have you had gastropexy done for your dog? Share your experiences in the comments!

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Disclaimer: This article is for informational purposes only and does not constitute veterinary advice. Always consult your veterinarian for professional advice regarding your dog’s health and medical decisions.